| NPI | 1528851656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN171015) |
| 163WC1500X Registered Nurse Community Health (Licence: AZ RN171015) | |
| 163WN1003X Registered Nurse Nutrition Support (Licence: AZ RN171015) | |
| 251E00000X Home Health (Licence: AZ RN171015) | |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-05-22 |